Actual Conditions of Elderly Patients With Neurosurgical Diseases Hospitalized in Saitama Prefecture, Japan-comparison of Length of Stay

Abstract

Purpose:
To clarify the characteristics of elderly patients with neurosurgical diseases through comparison between long-term hospitalization group and short-term hospitalization group.

Method:
Data collection period: Half a year from April 1, 2020 to September 30, 2020
Subjects: 138 patients aged 70 years or older who were hospitalized to discharged for the purpose of treating neurosurgical diseases during the data collection period.
Data collection: Data were collected from electronic medical records regarding disease name, age, length of stay, ICU admission, history of dementia, physical restraint, and pneumonia.
Analysis: We divided them into two groups, long and short term admission, and compared them.
Ethical considerations:Data was collected with the approval of the ethical review of the Nursing Department of the A medical institution. No conflict of interest.

Result:
The overall characteristics are that the average age is 80.9 ± 6.9 years, the length of hospital stay is 14.3 ± 12.5 days. 29 patients had dementia, 53 patients were physically restrained until discharge, and 15 patients had pneumonia during hospitalization.
The most common disease characteristics were cerebral infarction in 39 cases.
A comparison between the two groups showed significant differences in ICU admission, pneumonia, and physical restraint.

Discussion:
It was speculated that the factors behind the prolonged hospitalization were the complex disease caused by the complication of pneumonia and the physical condition requiring treatment in the ICU. The presence or absence of physical restraint was also a factor in long-term hospitalization.



Author Information
Shin Otomo, St. Luke's International University, Japan

Paper Information
Conference: AGen2021
Stream: Lifespan Health Promotion

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Posted by amp21